通过透过门的微创手术对直肠静脉形的直接棒栓塞
Ryan Bitar1, Oluwaseun Ayoade2, Anudeep Yekula2
1Division of Interventional Radiology, Department of Radiology, Yale University School of Medicine, New Haven, CT.
概括
这项研究报告了一种罕见的直肠静脉形 (VM) 病例,该病例已成功通过经门微创手术 (TAMIS) 辅助的直接棒栓塞 (DSE) 治疗. 这种微创方法为治疗结直肠血管异常提供了一个有希望的替代方案.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 直肠静脉形 (VMs) 是一种不常见的血管异常,具有不同的临床表现.
- 治疗需要根据病变特征和患者症状量身定制的策略.
- 由于其位置和潜在的并发症,直肠虚拟机的管理可能具有挑战性.
研究的目的:
- 介绍一个大型,孤立的直肠VM的新案例.
- 为了描述跨门微创手术 (TAMIS) 辅助直接棒栓塞 (DSE) 用于直肠VM治疗的成功应用.
- 评估TAMIS-DSE在治疗结直肠血管异常方面的可行性和有效性.
主要方法:
- 一名49岁的男性患者偶尔发现了直肠质量,他接受了诊断成像 (CT,MRI,内镜).
- 病变被确定为一个孤立的直肠静脉形.
- 直接棒栓塞 (DSE) 是通过透过门的微创手术 (TAMIS) 在预防性抗凝药 (rivaroxaban) 下进行的,由于D-二次体水平升高.
主要成果:
- 用TAMIS辅助的DSE手术在技术上是成功的,并且在没有手术内或术后并发症的情况下进行.
- 患者经历了无事件的恢复,预期的,自我限制的血栓后综合征.
- 这是第一次报告TAMIS辅助DSE的结直肠静脉形.
结论:
- 经门微创手术 (TAMIS) 辅助的直接棒栓塞 (DSE) 是对直肠静脉形的安全有效的微创治疗选择.
- 塔米斯-DSE在结直肠血管异常的干预管理中显示出更广泛应用的巨大潜力.
- 这种技术为特定的直肠VM患者提供了传统外科手术方法的有价值的替代方案.
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